Individual provider · Type 1 NPI

Michael Bruce Wyman, MD

Specialist · Portland, OR

NPI number 1104824648 Active

Practice location

5050 NE Hoyt St, Suite 340
Portland, OR 97213-2991

Call (503) 234-9861 Map

Fax (503) 238-0873

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD13922 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104824648

Michael Bruce Wyman, MD's National Provider Identifier is 1104824648, issued on Jul 8, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Dec 31, 2007.